Edwards Chiropractic Clinic P.C in Richton Park - Nutrition

Edwards Chiropractic Clinic P.C - NPI 1164649976

Edwards Chiropractic Clinic P.C is a Nutrition in Richton Park, Illinois. Edwards Chiropractic Clinic P.C practices all healthcare services and medical treatments related to Nutrition. The NPI Number for Edwards Chiropractic Clinic P.C is 1164649976. The last update date is 2008-03-26.

Edwards Chiropractic Clinic P.C's current location address is 22111 Governors Hwy, Richton Park, Illinois. You can contact this provider via phone number 7087475600 and fax number 7087485635. The mailing address for Edwards Chiropractic Clinic P.C is 22111 Governors Hwy, Richton Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Edwards Chiropractic Clinic P.C
Address 22111 Governors Hwy, Richton Park, Illinois
Phone Number 7087475600
Fax Number 7087485635
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Edwards L Garth
Credentials MD,DC,MHS,
Telephone Number 7087485600

NPI Number Detail

NPI Number 1164649976
Provider Enumeration Date 2007-04-20
Last Updated Date 2008-03-26

Provider Mailing Address Detail

Address 22111 Governors Hwy
City Richton Park
State Illinois (IL)
Post Code 604711249
Phone Number 7087475600
Fax Number 7087485635

Provider's Primary Taxonomy Detail

Speciality Nutrition
Taxonomy 111Nn1001X
Definition:
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1013922673 IL NPI INDIVIDUAL
1645747 IL BCBS PROVIDER

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FAQs about Edwards Chiropractic Clinic P.C

What is the unique provider identifier assigned to Edwards Chiropractic Clinic P.C?

The Edwards Chiropractic Clinic P.C has been issued the NPI (National Provider Identifier) 1164649976 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Edwards Chiropractic Clinic P.C located?

The Edwards Chiropractic Clinic P.C is located at 22111 Governors Hwy, Richton Park, IL 604711249.

What is Edwards Chiropractic Clinic P.C's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Edwards Chiropractic Clinic P.C is Nutrition, and the taxonomy code that categorizes this field of expertise is 111Nn1001X.

On what date did Edwards Chiropractic Clinic P.C receive its 1164649976 assignment from the Centers for Medicare & Medicaid Services?

The Edwards Chiropractic Clinic P.C was assigned its 1164649976 on 2007-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Edwards Chiropractic Clinic P.C most recently updated or revised?

The information pertaining to Edwards Chiropractic Clinic P.C, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-26.

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